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Risk Assessment for Hazardous Substances

Use this template as an example when conducting your own hazardous substance risk assessment. Here, you can identify each dangerous substance and isolate the risk it poses to your worker’s safety and health. Document where each chemical is stored, what are their key effects, and how you plan to control their storage and disposal.

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Audit
Job Functions Exposed
Print
Finishing
Other
What Is the Chemical Used For
Cleaning of print blankets
Plate replenisheer
Protection paste for rollers
Cleaning damper rollers
Cleaning Ink from folding rollers
Deglazing rollers
Removing roller residue
Metering roller cleaner & general degreaser
Lubricating chains
Other
If other please fill in below
Where Is the Chemical Stored
External chemical store
Ink store flammable cupboard
Internal flammable cupboard
Identification Method
If other, please give more info
What Are the Key Hazards
Gas
Dust
Mist
Paste
Liquid
Spray
Fibre
Vapour
Identify the person at risk:
How Are These Controlled
Controls in place
What Are the Key Effects
Harmful
Irritant
Toxic
Corrosive
Oxidising
Explosive
Flammable
Other
If Other, state the nature of the hazard type?
How Are These Controlled
Controls in place
What Is the Emergency Plan for Fire
First Aid
First aid info
Chemical Spill
Chemical spill info
Disposal of Chemical / Waste / Container
Is all chemical waste recycled
If not, fill in information here
Assessment of Risk
Overall assessment of risk with regard to current usage of this substance
Improvements
Are the current controls effective
Can the process be re-engineered
Does the MSDS suggest any controls that are not in place
Has the use of an alternative substance been considered
Assessment Review
This assessment should be reviewed periodically or if there are any changes in the process.
Date of next review
Assessment Completed By
Assessor Signature
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.